1. Home
  2. Directory
  3. Arkansas
  4. Little Rock
  5. Counselor
  6. NPI Profile

SHANAE STALLWORTH
NPI 1255886123
Counselor - Mental Health in Little Rock, AR

Active since August 22, 2016
20302 COL GLENN RD, LITTLE ROCK, AR 72210(501) 821-5500 Get Directions Write a Review

NPPES record last updated: August 22, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Shanae Stallworth NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANAE STALLWORTH (NPI 1255886123) is an individual mental health provider in Little Rock, Arkansas and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1255886123
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANAE STALLWORTH
Location Address20302 COL GLENN RDLittle Rock, AR 72210-5347
Mailing Address20302 Col Glenn RdLittle Rock, AR 72210-5347 · (501) 821-5500
Phone(501) 821-5500
Sole ProprietorNo
Enumeration DateAugust 22, 2016
✔ NPI 1255886123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
20302 COL GLENN RD, Little Rock, AR 72210
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DRUSCILLA HOLLIMAN
Behavior Technician
20302 COL GLENN RD
LITTLE ROCK, AR 72210
Pulaski County (501) 821-5500
WHITNEY LEE
Counselor (Mental Health)
20302 COL GLENN RD
LITTLE ROCK, AR 72210
Pulaski County (501) 821-5500
KRISTEN HILLIARD
Counselor (Mental Health)
20302 COL GLENN RD
LITTLE ROCK, AR 72210
Pulaski County (501) 821-5500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shanae Stallworth's NPI number?

The NPI number for Shanae Stallworth is 1255886123. It was assigned to this individual provider in the NPPES registry on August 22, 2016.

Where is Shanae Stallworth located?

Shanae Stallworth practices at 20302 Col Glenn Rd, Little Rock, AR 72210. The listed phone number is (501) 821-5500.

What is Shanae Stallworth's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Shanae Stallworth was last updated on August 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.